DOCSLIB.ORG

Goldman, Sybil K., Ed. Promising Practices in Wraparound For

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Goldman, Sybil K., Ed. Promising Practices in Wraparound For DOCUMENT RESUME ED 429 422 EC 307 170 AUTHOR Burns, Barbara J., Ed.; Goldman, Sybil K., Ed. TITLE Promising Practices in Wraparound for Children with Serious Emotional Disturbance and Their Families. Systems of Care: Promising Practices in Children's Mental Health 1998 Series. Volume IV. INSTITUTION Georgetown Univ. Child Development Center, Washington, DC. National Technical Assistance Center for Children's Mental Health.; American Institutes for Research, Washington, DC. SPONS AGENCY Substance Abuse and Mental Health Services Administration (DHHS/PHS), Rockville, MD. Center for Mental Health Services.; Special Education Programs (ED/OSERS), Washington, DC. PUB DATE 1999-00-00 NOTE 141p.; Volumes I and II not in ERIC; for volumes III, IV, and V, see EC 307 169-171. CONTRACT 6H02MC00058; H237T60005 PUB TYPE Guides Non-Classroom (055) Reports Descriptive (141) EDRS PRICE MF01/PC06 Plus Postage. DESCRIPTORS *Agency Cooperation; Case Studies; *Court Litigation; Delivery Systems; Elementary Secondary Education; *Emotional Disturbances; Family Programs; *Integrated Services; *Mental Health Programs; Meta Analysis; Program Design; Program Implementation; Staff Development; Supervision; Surveys; Training ABSTRACT This is the fourth volume in a series of monographs from the Comprehensive Community Mental Health Service for Children and Their Families Program, which currently supports 41 comprehensive system of care sites to meet the needs of children with serious emotional disturbances (SED) . This volume identifies the essential elements of wraparound services, provides a meta-analysis of the research previously done on the topic, and examines how three sites are turning wraparound into promising practices in their system of care. Chapters address:(1) the history of the wraparound process, including significant legal cases, programmatic roots of the wraparound process, community involvement concepts, and the rapid growth of wraparound; (2)the conceptual framework for wraparound, including the 10 essential elements and 10 requirements for implementation of wraparound at the practice level (requirements for a referral mechanism, resource coordinators, formation of the child and family teams, and an interactive team process and formation of partnerships to develop individualized plans); (3) 3 wraparound model sites; (4) the findings of the state/territory wraparound survey (n=55) that indicate 88 percent are providing wraparound services; (5) training and quality monitoring; and (6) case studies of wraparound services. Appendices include values and principles for the system of care, wraparound survey of state child mental health directors, and potential elements essential to the wraparound process. (Contains approximately 50 references.) (CR) Comprehensive Community Mental Health Services for Children and Their Families Program Systems of Care Promising Practices in Children's Mental Health 1998 Series VOLUME IV PROMISING PRACTICES IN WRAPAROUND FOR CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCE AND THEIR FAMILIES National Technical Assistance Center for Children's Mental Health Georgetown University Editors: Barbara J. Burns, Ph.D. Sybil K. Goldman, M.S.W. PERMISSION TO REPRODUCE AND U.S. DEPARTMENT OF EDUCATION Office of Educational Research and Improvement DISSEMINATE THIS MATERIAL HAS EDUC TIONAL RESOURCES INFORMATION BEEN GRANTED BY CENTER (ERIC) This document has been reproduced as received from the person or organization rt=1!.0,,rx originating it. 0 Minor changes have been made to improve reproduction quality. TO THE EDUCATIONAL RESOURCES INFORMATION CENTER (ERIC) Points of view or opinions stated in this document do not necessarily represent 1 official OERI position or oolicv. Child, Adolescent, and Family Branch Division of Knowledge Development and Systems Change Center for Mental Health Services Substance Abuse and Mental Health Services Administration U.S. Department of Health and Human Services BEST CIPYAVALhLF Comprehensive Community Mental Health Services for Children and Their Families Program 2 U.S. Department of Health and Human Services Donna Shalala Secretary Substance Abuse and Mental Health Services Administration Nelba Chavez Administrator Center for Mental Health Services Bernard S. Arons, Director Division of Knowledge Development and Systems Change Michael English, Director Child, Adolescent, and Family Branch Gary De Carolis, Chief Suggested citation: Burns, B.J., and Goldman, S.K. (Eds.) (1999). Promising practices in wraparound for children with serious emotional disturbance and their families. Systems of Care: Promising Practices in Children's Mental Health, 1998 Series, Volume IV. Washington, D.C.: Center for Effective Collaboration and Practice, American Institutes for Research. The writing of all Volumes in the 1998 Promising Practices series was funded by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, United States Department of Health and Human Services. This document was written by the National Technical Assistance Center for Children's Mental Health at the Georgetown University Child Development Center, which is supported by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration, and the Maternal and Child Health Bureau, Health Resources and Services Administration, United States Department of Health and Human Services (grant number 6 H02MC00058). Production of the document was coordinated by the Center for Effective Collaboration and Practice at the American Institutes for Research, funded under a cooperative agreement with the Office of Special Education Programs, Office of Special Educa- tion and Rehabilitative Services, United States Department of Education, with additional support from the Child, Adoles- cent, and Family Branch, Center for Mental Health Services, Substance Abuse and Mental Health Administration, United States Department of Health and Human Services (grant number H237T60005). The content of this publication does not necessarily reflect the views or policies of the funding agencies and should not be regarded as such. Table of Contents FOREWORD 7 ACKNOWLEDGMENTS 9 EXECUTIVE SUMMARY 11 CHAPTER I: HISTORY OF THE WRAPAROUND PROCESS by John VanDenBerg, Ph.D 19 Introduction 19 Significant Legal Cases 20 Programmatic Roots of the Wraparound Process 20 Community Involvement Concepts 21 The Alaska Youth Initiative 21 Rapid Growth of Wraparound 23 Summary 24 CHAPTER II: THE CONCEPTUAL FRAMEWORK FOR WRAPAROUND by Sybil K. Goldman, M.S. W Introduction 27 Definition 28 Values 29 Ten Essential Elements 30 Ten Requirements for Implementation of Wraparound at the Practice Level 32 CHAPTER III: THREE WRAPAROUND MODELS AS PROMISING APPROACHES by Sybil K. Goldman, M.S.W, and Leyla Faw, B.S. Introduction 35 Wraparound Milwaukee 35 La Grange, Illinois 52 Santa Clara County, California 66 Summary and Conclusions 75 CHAPTER IV: THE STATE WRAPAROUND SURVEY by Leyla Faw, B.S. Introduction 79 Methods 79 Results 79 Discussion 82 Volume IV: Promising Practices in Wraparound 3 Table of Contents, continued Conclusions 83 CHAPTER V: TRAINING AND QUALITY MONITORING by Ley la Faw, B.S., E. Mary Grealish, M.Ed., and Ira S. Lourie, M.D. Introduction 85 Training 85 Degrees and Coursework 88 Quality Monitoring 90 CHAPTER VI: THE WRAPAROUND EVIDENCE BASE by Barbara J. Burns, Ph.D., Sybil K. Goldman, M.S.W, Ley la Faw, B.S., and John D. Burchard, Ph.D. Introduction 95 Case Studies 100 Pre-Post Design Studies 102 Randomized Clinical Trials 110 Conclusions 113 EPILOGUE by Karl Dennis 119 REFERENCES 123 APPENDICES Appendix A 131 Appendix B 133 Appendix C 135 Appendix D 139 4 Volume IV: Promisine Practices in Wranaround Promising Practices in Children's Mental Health Systems of Care - 1998 Series List of Exhibits EXHIBIT 1 Wraparound Milwaukee Plan of Care 41 EXHIBIT 2 Crisis Plan 45 EXH[BIT 3 La Grange: Examples of Services Provided Through School-Based Wraparound Plans 57 EXHIBIT 4 LADSE EBD Network: Level H Quality Indicators 60 EXHIBIT 5 Program UPLIFT Service Plan Evaluation 69 EXHIBIT 6 Sample Service Plan 87 EXHIBIT 7 Critical Elements of the Planning Process 89 EXHIBIT 8 Survey of Wraparound Studies in Nine States 97 Volume IV: Promising Practices in Wraparound 5 Promising Practices in Children's Mental Health Systems of Care - 1998 Series Foreword It is with great pleasure that we present the first collection of monographs from the Promising Practices Initiative of the Comprehensive Community Mental Health Services for Children and Their Fami- lies Program. The Comprehensive Community Mental Health Services for Children and Their Families Program is a multi-million dollar grant program that currently supports 41 comprehensive systems of care throughout America, helping to meet the needs of many of the 3.5 to 4 million children with a serious emotional disturbance living in this country. Each one of the seven monographs explores a successful practice in provid- ing effective, coordinated care to children with a serious emotional disturbance and their families. The 1998 Series marks a turning point in this five-year-old federal effort, which is administered by the Center for Mental Health Services, Substance Abuse and Mental Health Services Administration of the U.S. Department of Health and Human Services. The first generation of five-year grants is about to come to an end, and with that "graduation" comes a responsibility to add to the national knowledge base on how best to support and service the mental health needs
Load more

Recommended publications
  • Wraparound-Key Information, Evidence, and Endorsements
    Wraparound—Key information, evidence, and endorsements March, 2007 Brief Wraparound is a team-based planning process intended to provide Description individualized, coordinated, family-driven care to meet the complex needs of children who are involved with several child- and family-serving systems (e.g. mental health, child welfare, juvenile justice, special education), who are at risk of placement in institutional settings, and who experience emotional, behavioral, or mental health difficulties. The wraparound process requires that families, providers, and key members of the family’s social support network collaborate to build a creative plan that responds to the particular needs of the child and family. Team members then implement the plan and continue to meet regularly to monitor progress and make adjustments to the plan as necessary. The team continues its work until members reach a consensus that a formal wraparound process is no longer needed. The values associated with wraparound require that the planning process itself, as well as the services and supports provided, should be individualized, family driven, culturally competent and community based. Additionally, the wraparound process should increase the “natural support” available to a family by strengthening interpersonal relationships and utilizing other resources that are available in the family’s network of social and community relationships. Finally, wraparound should be “strengths based,” helping the child and family to recognize, utilize, and build talents, assets, and positive capacities. It should be noted that wraparound is more a specific method for treatment planning and care coordination than a single treatment like many that are often featured in lists of evidence-based practices.
    [Show full text]
  • Wraparound Milwaukee: Aiding Youth with Mental Health Needs. INSTITUTION Office of Juvenile Justice and Delinquent Prevention (Dept
    DOCUMENT RESUME ED 442 031 CG 030 029 AUTHOR Kamradt, Bruce TITLE Wraparound Milwaukee: Aiding Youth with Mental Health Needs. INSTITUTION Office of Juvenile Justice and Delinquent Prevention (Dept. of Justice), Washington, DC. PUB DATE 2000-04-00 NOTE 11p. PUB TYPE Journal Articles (080) JOURNAL CIT Juvenile Justice; v7 n1 pp14-23 Apr 2000 EDRS PRICE MF01/PC01 Plus Postage. DESCRIPTORS *Adolescents; Family Involvement; Financial Support; Health Maintenance Organizations; Individual Needs; *Juvenile Justice; *Mental Health; Mental Health Programs; Outcomes of Treatment; Psychological Needs IDENTIFIERS *Wisconsin (Milwaukee County) ABSTRACT Finding effective treatment models for youth in the juvenile justice system with serious emotional, mental health, and behavioral needs can be difficult. The traditional categorical approach that the juvenile justice, child welfare, and mental health systems often use places youth in a "one-size-fits-all" program, regardless of the youth's needs. Wraparound Milwaukee takes a quite different approach. This approach, which is based on the Wraparound philosophy, offers care that is tailored to each youth. The following elements of the Wraparound approach have been found to be of particular importance when working with children in the juvenile justice system: a strength-based approach to children and families; family involvement in the treatment process; needs-based service planning and delivery; individualized service plans; and an outcome-focused approach. This program, which began in 1994, is made up of the following components: care coordination; the Child and Family Team; a mobile crisis team; and a provider network. Because Wraparound Milwaukee blends system funds, it can provide a flexible and comprehensive array of services to delinquent youth and their families.
    [Show full text]
  • Year End Report
    2019Year End Report Wraparound Milwaukee System of Care 2019 Wraparound Milwaukee System of Care Year End Report i Wraparound Milwaukee Vision, Mission A Leader of Change and Values in Action Vision To help build healthy and strong communities by enhancing children and families’ ability to meet life’s challenges and to foster resiliency and hope for a better future. Mission 1. To serve each youth and family with respect and dignity acknowledging their strengths, needs, and preferences. 2. To partner with the agencies that work with families to create one plan for a better life. 3. To support youth and their families to remain safely in their homes and communities. 4. To provide quality care that is culturally responsive to the diverse needs of the families we serve. 5. To provide leadership in creating lasting resources for families in their communities. Values in Action Wraparound Milwaukee’s history and practice is driven by a steadfast commitment to core values. When questions arise, problems occur, and decisions need to be made, going back to these core values helps guide how Wraparound Milwaukee Wraparound Milwaukee was established in 1994 Wraparound uses a mix of local, state and federal funds responds. In addition, each of these values represent set of practices that have proven to be the most effective in promoting as part of a six-year, $15 million federal grant from the that are pooled to create a flexible source of funding to meaningful and sustainable success for Wraparound Milwaukee’s most important clients — the children and families. U.S. Department of Health and Human Services’ Center for best meet the needs of children, youth, and their families.
    [Show full text]
  • Kinship Care Is Better for Children and Families
    clpABA Child Law Practice Vol. 36 No. 4 July/August 2017 CLP Online: www.childlawpractice.org SPECIAL FOCUS: KINSHIP CARE Kinship Care is Better for Children and Families What’s Inside: by Heidi Redlich Epstein 79 CASE LAW UPDATE he idea of family members assist- Both child welfare law and policy Ting and supporting each other is prioritize placing children with grand- 83 SYSTEM REFORM not new. This is a traditional practice parents, relatives, or close family Creating a Kin-First Culture in most cultures. The foster care sys- friends, known as kinship care. Pursu- in Child Welfare tem is starting to incorporate kinship ant to 42 U.S.C. 671, states must “con- care as a permanency option for chil- sider giving preference to an adult rel- 88 IN PRACTICE dren. Efforts are underway to remove ative over a nonrelated caregiver when Recruiting and Supporting barriers to kinship placements, includ- determining placement for a child, Kinship Foster Families ing removing bureaucratic processes provided that the relative caregiver and streamlining legal proceedings to meets all relevant state child protection 90 IN LITIGATION allow relatives to safely care for chil- standards.” Most state laws and poli- Sixth Circuit Case Opens dren and maintain important family cies also support a priority for place- Door to Equal Pay and Support connections. Efforts are also beginning ment with a relative. Additionally, the for Relative Caregivers to examine foster care licensing re- federal Fostering Connections Act to 92 LAW & POLICY UPDATE quirements, supports, and services for Success and Increasing Adoptions Act Promising Practices When kin, and approaches to complex family of 2008 acknowledges the important Working with Immigrant dynamics that affect kin and their abil- role relatives play in the life of a child Kinship Caregivers ity to care for children.
    [Show full text]
  • Life After Lockup: Improving Reentry from Jail to the Community Kathy Gnall, Pennsylvania Department of Correction Miriam J
    Amy L. Solomon Jenny W.L. Osborne Stefan F. LoBuglio Jeff Mellow Debbie A. Mukamal Title of Section i 00-monograph-frontmatter.indd 1 4/29/08 11:10:25 AM 2100 M Street NW Washington, DC 20037 www.urban.org © 2008 Urban Institute On the Cover: Center photograph reprinted with permission from the Center for Employment Opportunities. This report was prepared under grant 2005-RE-CX-K148 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Offi ce of Justice Programs, which also includes the Bureau of Justice Statistics, the National Institute of Justice, the Office of Juvenile Justice and Delinquency Prevention, and the Office for Victims of Crime. Opinions expressed in this document are those of the authors and do not necessarily represent the official position or policies of the U.S. Department of Justice, the Urban Institute, John Jay College of Criminal Justice, or the Montgomery County, Maryland Department of Correction and Rehabilitation. About the Authors my L. Solomon is a senior research associate at the Urban Institute, where she works to link the research activities of the Justice Policy Center to the policy and A practice arenas. Amy directs projects relating to reentry from local jails, community supervision, and innovative reentry practices at the neighborhood level. Jenny W.L. Osborne is a research associate in the Urban Institute’s Justice Policy Center, where she is involved in policy and practitioner-oriented prisoner reentry projects and serves as the center’s primary contact for prisoner reentry research. Jenny is the project coordinator for the Jail Reentry Roundtable Initiative and the Transition from Jail to Community project.
    [Show full text]
  • COMMUNITY-BASED SERVICES Mental Health Programs for Kansas
    November 2005 COMMUNITY-BASED SERVICES Mental Health Programs for Kansas Children and Families: Wraparound Fidelity and Quality of Care The University of Kansas School of Social Welfare Office of Child Welfare and Children’s Mental Health This report was supported through a Contract with The Kansas Department of Social and Rehabilitation Services, Division of Health Care Policy Sharon T. Barfield, Ronna Chamberlain, and Susan K. Corrigan, with Support from Young Joon Hong and Alexander Barket Mental Health Programs for Kansas Children and Families: Wraparound Fidelity CONTENTS Page 1. INTRODUCTION…………………………………………………………………... 1 n 2. BACKGROUND OF COMMUNITY-BASED SERVICE PROGRAMS….......... 1 3. PURPOSE OF STUDY…………………………………………………………….. 2 4. METHODOLOGY OF STUDY…………………………………………………… 2 4.1. Descriptions of Centers………………………………………………………... 3 4.2. Study Questions……………………………………………………………….. 4 5. FINDINGS …………………………………………………………………………. 6 5.1. Population and Demographics……………………………………………….. 6 5.1.1. Identified Strengths of Youth…………………………………………... 8 5.1.2. Identified Diagnoses of Youth……………………………………...….. 9 5.2. Wraparound Model…………………………………………………………… 12 5.2.1. Wraparound Model Implementation…………………………………… 12 5.2.1.1. Composition of Team Membership………………………….. 15 5.2.1.2. Factors Impacting Team Membership……………………….. 17 5.2.2. Established Goals………………………………………………………. 18 5.2.3. Consistency Between Goal Establishment and Reasons Parents Seeking Services………………………………………………………. 19 5.2.4. Consistency Between Wraparound Team Membership and Established Goals…………………………………………………....... 20 5.2.5. School Personnel Wraparound Team Membership …………................ 22 5.3. Types and Frequencies of Service Utilization……………………………….. 24 5.4. Aggregated Client Status Report Outcomes……………………………........ 26 5.4.1. Family-Centered Outcomes………………………………………........ 27 5.4.2. Wraparound Outcomes……………………………………………......... 31 5.5. Application of Family-Centered Philosophy: Years One, Two, and Three. 36 5.6.
    [Show full text]
  • A Narrative Review of Wraparound Outcome Studies
    This document was peer reviewed through the NWI. Theory and Research: Chapter 3.3 A Narrative Review of Wraparound Outcome Studies Jesse Suter, Faculty University of Vermont Eric Bruns, Co-Director, National Wraparound Initiative, and Associate Professor, University of Washington School of Medicine he wraparound process has been described as having a T promising body of evidence (Burns, Goldman, Faw, & Burchard, 1999; National Advisory Mental Health Council, 2001; New Freedom Commission on Mental Health, 2003), to the point it has been included in two Surgeon General re- ports (U. S. Department of Health and Human Services, 1999, 2000), recommended for use in federal grant programs (U. S. Department of Health and Human Services, 2005), and presented as a mechanism for improving the delivery of evi- dence-based practices for children and adolescents with se- rious emotional and behavioral disorders ([SEBD] Friedman & Drews, 2005; Tolan & Dodge, 2005; Weisz, Sandler, Durlak, & Anton, 2006). Not everyone, however, is convinced. Bick- man and colleagues (Bickman, Smith, Lambert, & Andrade, 2003) have stated that “the existing literature does not pro- vide strong support for the effectiveness of wraparound” (p. 138). Farmer, Dorsey, and Mustillo (2004) recently char- acterized the wraparound evidence base as being “on the weak side of ‘promising’” (p. 869). There are several significant concerns about the state of the wraparound evidence base. As presented in Figure 1, though the number of publications about wraparound has grown steadily over time, the number of outcome studies remains relatively small. Many outcome studies that have been published used less rigorous designs and included rel- atively small samples.
    [Show full text]
  • Ten Principles of the Wraparound Process
    This document was produced through the full NWI consensus process. The Principles of Wraparound: Chapter 2.1 Ten Principles of the Wraparound Process Eric Bruns, Co-Director, National Wraparound Initiative, and Associate Professor, University of Washington School of Med- icine Janet Walker, Co-Director, National Wraparound Initiative, and Research Associate Professor, Portland State University School of Social Work National Wraparound Initiative Advisory Group he philosophical principles of wraparound have long Tprovided the basis for understanding this widely-prac- ticed service delivery model. This value base for working in collaboration and partnership with families has its roots in early programs such as Kaleidoscope in Chicago, the Alaska Youth Initiative, Project Wraparound in Vermont, and other trailblazing efforts. Perhaps the best presentation of the wraparound value base is provided through the stories contained in Everything is Normal until Proven Otherwise (Dennis & Lourie, 2006). In this volume, published by the Child Welfare League of America, Karl Dennis, former Director of Kaleidoscope, presents a set of stories that illuminate in rich detail how important it is for helpers to live by these core principles in service delivery. As described in the Resource Guide’s Fore- word, these stories let the reader “experience the wrap- around process as it was meant to be” (p.xi). For many years, the philosophy of wraparound was ex- pressed through the work of local initiatives and agencies such as Kaleidoscope, but not formally captured in publica- tions for the field. Critical first descriptions were provided by VanDenBerg & Grealish (1996) as part of a special is- sue on wraparound, and by Goldman (1999) as part of an influential monograph on wraparound (Burns & Goldman, 1999).
    [Show full text]
  • How, and Why, Does Wraparound Work: a Theory of Change
    This document was peer reviewed through the NWI. Theory and Research: Chapter 3.1 How, and Why, Does Wraparound Work: A Theory of Change Janet Walker, Co-Director, National Wraparound Initiative, and Research Associate Professor, Portland State University School of Social Work raparound has always had implicit associations with Wvarious psychosocial theories (Burchard, Bruns, & Bur- chard, 2002; Burns, Schoenwald, Burchard, Faw, & San- tos, 2000); however, until recently only preliminary efforts had been undertaken to explain in a thorough manner why the wraparound process should produce desired outcomes (Walker & Schutte, 2004). Using the foundation supplied by the specification of the principles (Bruns et al., 2004) and practice model (Walker et al., 2004) of wraparound, the National Wraparound Initiative (NWI) has proposed a more detailed theory of change to describe how and why wrap- around works. Figure 1 (see following page) provides an overview of this theory. Beginning at the left, the figure illustrates how, when wraparound is “true” to the principles and practice described by the NWI, the result is a wraparound process with certain characteristics. Moving across the figure to the right, the various boxes summarize the short-, intermedi- ate- and long-term outcomes that are expected to occur. The figure illustrates with arrows several “routes” by which the wraparound process leads to desired outcomes. It is important to remember, however, that this figure is a highly simplified representation of an extremely complex process. The various routes to change described here are not independent. They interact with and reinforce one an- other. Furthermore, the changes that emerge as a result of wraparound do not come about in a linear fashion, but rath- er through loops and iterations over time.
    [Show full text]
  • Wraparound Milwaukee's Model
    Innovative Approaches to Measuring and Monitoring Outcomes for Youth in Systems of Care – Wraparound Milwaukee’s Model For: Conference on “Expanding Access to Children’s Behavioral Health Care Services” Albany, NY October 8, 2014 Presented By: Bruce Kamradt, MSW, Director, Wraparound Milwaukee What is Wraparound Milwaukee . Created in 1995, it is a unique system of care for Milwaukee County children and adolescents with serious emotional, mental health and behavioral needs that cross child serving systems (e.g., mental health, juvenile justice, child welfare) who are at imminent risk of institutional type placements . 1,600 youth/families served annually (1,100 daily census) . Operated by Milwaukee County government as a unique Care Management Entity (CME) under the 1915(a) provision of Social Security Act, it acts as a type of behavioral health HMO 2 What is Wraparound Milwaukee (cont’d) . Pools funds across child serving systems ($53 million for 2014) to increase flexibility and availability of funding – Wraparound Milwaukee is single payer . One service plan and one care manager . 42% of youth served are from juvenile justice system and 25% are referred from child welfare system, 30% non-court involvement 3 Rationale for the Creation of Wraparound Milwaukee . Over utilization of out of home care for youth involved in the juvenile justice and child welfare systems including group/residential treatment, juvenile correctional placements, and psychiatric in-patient care – Too many youth being placed and for too long . High cost of out of home care expenditures was causing serious deficits in juvenile justice/child welfare budget in Milwaukee County . Poor outcomes for youth coming out of institutional placements concerned court, advocates and juvenile justice/child welfare officials 4 What is a Care Management Entity (CME)? .
    [Show full text]
  • “Is Illinois Truly Embracing a System of Care Model for Children and Adolescents?”
    Illinois Children’s Behavioral Health Association Annual Winter Conference December 10-11, 2018 “Is Illinois Truly Embracing a System of Care Model for Children and Adolescents?” Sheila A. Pires Managing Partner, Human Service Collaborative Core Partner, National Technical Assistance Network for Children’s Behavioral Health Senior Consultant, Center for Health Care Strategies, Inc. Let’s begin by talking about children and families ….and why they need a system designed for them. Prevalence and Utilization How Many Children Face Prevalence/Utilization Triangle Mental Health Challenges? “An estimated 13-20% of children Intensive More Services in the US (up to 1 out of 5 children) complex – 60% of experience a mental disorder in a needs Home and given year…” 2 - 5% $$$ community services and Prevention Centers for Disease Control and Prevention. Mental health surveillance among supports; children – United States 2005-2011. MMWR 2013;62 (Suppl; May 16, 2013):1- and 35. The report is available at www.cdc.gov/mmwr early Universal 15% intervention Health –35% of $$ Promotion About one out of every ten youth is – 5% of $ estimated to meet the SAMHSA Less criteria for a Serious Emotional complex Disturbance (SED), defined as a needs 80% mental health problem that has a significant impact on a child's ability to function socially, Pires, S. (2010). Building systems of care: A primer, 2nd Edition. Washington, academically, and emotionally D.C.: Human Service Collaborative for Georgetown University National Costello, EJ, Egger, H, Angold, A. 10-year research update review: The Technical Assistance Center for Children’s Mental Health. epidemiology of child and adolescent psychiatric disorders: 1.
    [Show full text]
  • A Short History of Vista Del Mar Child and Family Services
    A Short History of Vista Del Mar Child and Family Services t the turn of the 20th century, millions of Jewish families fled Eastern Europe to escape persecution. Many of them came to the United States and packed into eastern cities already A crowded and teeming with disease. In an effort to alleviate the crowded and unhealthy conditions, people were encouraged to move out west, where the population was sparse and where the warm, dry air was thought to be a cure for communicable illnesses like tuberculosis and polio. Unfortunately, many sufferers died of their illnesses anyway, leaving behind homeless and destitute families to fend for themselves. A Jewish Orphanage In Los Angeles, the plight of the Jewish homeless greatly worried the members of B’nai B’rith Lodge Number 487. Guided by lodge member Sigfried Marshutz, an optometrist by trade, the lodge decided to establish a Jewish orphanage to care for the growing population of Jewish children living in the streets. On October 3, 1908, the Jewish Orphans Home of Southern California was incorporated. The Alfred Stern mansion located on the corner of Mission and Macy (new Cesar Chavez) Streets in Boyle Heights served as the first home. Stern was a wine merchant who had passed away some years earlier, and the house was standing empty. Marshutz was able to secure a lease for only $50 a month. But a year and a half later, the mansion burned to the ground in the middle of the night. Although no one was injured, another home had to be quickly found.
    [Show full text]